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HomeMy WebLinkAbout07110104 ApplicationGj.l a cii?", r City of Carmel/Clay Township Permit #: RESIDENTIAL IWROVEMENT LOCATION PERMIT APPLICATION N014 a For Single Family, Town Nome, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER OF NAME: PHONE: U I rC IY) 5 5 s - FAX: ?I (o K -)-o(o RECORD: STREETAODRESS: r CIT' STAT=_: ZIP: D r`y) &P_ i D r AK) 3T C.AlIV EL_ 4(a03_2- BUILDER'S EMAILADDRESS: f? 1 r ? ? LV < =_F t BEST METHOD OFCONTACP. rn ft= F7 PROPERWuh `" v Ti1(V PHONE: D f. compii i C ',!5 s w t I guI I s OWNER: of ' ClE . ` aTY, TUFTL° VA.- 21 2001 zit. j Y5ERV1:,'=::, LOCATION LOT :. IS Iai. jiP ? 41? - 4 U-i L SE, 7ONIN& _ & PROJECT UA SQ NFO: ADDRESS OF CONSTRUCTION: 1 1-730 Ai r- % FOOTAG E: _ SEWER UTILITY p ??? WATER UTILITY ? n ?t11 PROVIDER: C-f" km& L PROVIDER; CLft R L ESTIMATED COST OF CONSTR$41,59 UC ]ON: t (EXCLUDING LAND VALU + - NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I B7A I UPW DDCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANDICR SEPTIC PEAMCI it's (IF APPLICA8L`c): 4 , (o D FLOOD ZONE AREA DE FORTHIS PROPERTY: SIGNATION(S) 4 6"7 11 pb J TAX MAP PARCEL #: 1-7 -0q-3 TYPE OF CONSTRUCTION: ?'?W„SINGLE FAMILY TOWN HOME O TWO FAMILY At of units being constructed at this time: CJ RESIDENTIAL (For Additions. Remodels, Etc.] PROIECTINFORMATION: Early Release Permit: Lot Split: TYPE OF IMPROVEMENT: _ NEW STRUCTURE ? ROOM ADDITION(S) ? PORCH ADDITION(S) O DECKADDITION(S) O REMODEL _ Basement Finish only CD ACCESSORY BUILDING © DETACHED GARAGE ED ATTACHED GARAGE ? DEMOLITION Manufactured Trusses: V _"y /N Sump Pump: Y V N PLUMBING CONTRACTO ?1 CIJiV ?} C CSF 1 IV, '4- Plumber's Indiana State License #: PP1nnn+0 1 Which plumbing codeswill be applied to the construction: Ve-'Intemational Residential Code w/Indiana Amendments I Uniform Plumbing Code w/Indiana Amendments FOUNDATION TYPE: (Check all that apply for the new construction area) ? "S CRAWLSPACE? POST & BEAM PIER B ? BASEMENT (WALKOUT: Y -N) _Y J N _Y VN For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures. this permit is valid only if construction commences within180 days of the date of issuance of the holding peanut, and must be completed (Certificate of Occupancy issued) w Lion 18 mouths of the issnanve date- Class I structure penirivs are subject to the General AdministratiiT Rules of the State of Indiana (See 675 TAC 12) regarding expitation time frames for beginning and completing construction. I, the undersigned, agree that any construction, xe r,5 tuctton, eal=_tgement, relocation, rr alteration of a stn!ctute, or any change in the use o:land or stracinies requested by this applimrion will comply with, and confoa to, all applicable laws of the State of Indiana, arc. the "Zor ing Otdinar ce of Carmel Irdbria -1997" (Z" 259)and amendmen[s,adopted uaderau:bority ofiC.s6-let seq, General Assembly oRhe Slate of Indiana, and a?l Acta amendaton'[hexem_ I€ur[her rerrify [hoc only kitchen, bath, and Eleo- drains are canrec red to the sanitary sm ex. 1 furrher certify that the construction will not be used or occupied until a Certificate of Ocemputcyhas been issued by the Deparmnent of Community Services; Carmel, Indiana. (2A a AU Skjo-D h . 1(7 rA r? N C F.Q r1E?.f? I t d '7 nnn er n-e ,nr AathariZeA AA t Print ***x******xx**********t+*s USE ONLY: INSPECTIONS REQUIRED: Upper Footi Lower Footing Under S1 In eter Bas Final Fz? Reviewed/ _ ved: Dept. ommunity{,>@ryie?s^ [??t I 7: S:PearfS/rorms/ItP RESMEK`iIAL Sll.J11S?t11i1 CT Filing Fees: W a `( • Base Inspections: AST 50 # Charged Re- Reviews Cert. of Occupancy: 55-50 P.R.I.F.: lY I QQ Additional Fees